Monday, April 23, 2012

Medical report: «blue» devoid of measures to prevent infection #H5N1 #BIRDFLU

Constitution Hill and Kausar Sahib Sawalha
04/24/2012


Al «constitution» of medical sources reliable that at the request of the Ministry of Health, a team of doctors from the Ministry and the Royal Medical Services Hospital, King Abdullah University of Science and Technology University of Jordan to conduct assessment and epidemic hospital blue government respects the epidemiological, clinical, and laboratory and radiological and procedures for infection control and sterilization to determine the causes the limited spreading epidemic of pneumonia in acute hospital blue state and a report was handed over to the concerned authorities on Monday.

The medical report, which received a «constitution» copy of it, that the control measures to prevent infection in sections (CCU, ICU) in hospital in a deplorable state, where between that there is no impact of any actions relating to the prevention of infection, and that the example of this is reflected in the dirt devices as a hemodialysis and a blood gas and utilities to breathe Ambubag and development of tools and pipes artificial respiration together in (a bowl of garbage) to complete the sterilization processes, and the mystery is clear to the nursing staff in determining the responsibilities of infection control and sterilization, where they believe that this is the responsibility of the cleaners.

The report indicated that the cause of bacterial of these cases has the ability of low to medium to move from one person to another (Infectivity) is indicated by the concentration in nurse care units (who spend a lot of time with each other) and the injury of one doctor, while no one was injured from transport workers or workers hygiene.

He suggested the report that the bacterial strain for these cases has the ferocity of medium alone in the top where the cases recorded in most cases of mild to moderate and there is one death can not measure it until now.
The report is likely to be substantiated cases of this virus, as there is a shared, common symptoms, but stressed that it can not be denied bacterial causes pending the results of lab tests.
He pointed out that poor general environment for the two of (ICU, CCU) is a very encouraging platform for the occurrence of future outbreaks of infectious if not improve their standing.

The following is the text of the report, obtained by «constitution», a copy of:

1.
Epidemiological situation: The monitor (9) cases infected with respiratory symptoms in the period between (02/04/2012 - 04/19/2012) The number of staff in the CCU 29 nurses in the ICU 39, and 49 correspondent, and 6 workers. The number of people with a cadre of CCU and ICU 6 patients, and therefore the epidemiological situation of this deployment is a case of a pandemic is limited.

2.
Situation Clinical represented symptoms fever, coughing and general weakness symptoms common to all patients, and proved tests chest x-ray and the presence of treatments inflammatory pulmonary seven patients and six cases that were previewed were in stable condition clinically, does not need any of them any help with oxygen, and expected out of three of them at least day (19/04/2012), there are severe case of the citizen in the Islamic Hospital (Transferred to there) She died on the evening (19.04.2012) due to severe pulmonary insufficiency.

3.
Laboratory situation: laboratory tests did not prove up to date, no bacterial or viral pathogens or other, have been examined samples nurse emotions scourge of viruses and bacteria six Allitjonala and all tests were negative.
The team to take samples for six of the patients blood for the cultivation of microbial and plant bacterial urine and sputum bacterial cultivation and take up the sample serum serological tests as cases have also been developments in environmental samples taken from different parts of my unit (ICU, CCU).

The report recommended the expansion «case definition» to include respiratory symptoms + heat without requiring the presence of pneumonia installed radially, and this is originally used for the epidemiological survey and does not change any of the additional remedial action.

Also recommended to conduct the following tests for any situation.
A - CCU, ICU.
B - planting the blood.
C - cultivation of urine.
D - Cultivation of sputum or other respiratory secretions.
E - A survey of viral-viral common.
F And-PCR-influenzae.
G - check to Itjonilla in the urine.
Save serum samples for any other tests because of the need.

And conducting epidemiological and finding all the cases that have been made to these two units as of (04/02/2012) to see if one or more had suffered similar symptoms and continue to investigate epidemiology of the health staff for the two (ICU, CCU).

It also strongly recommended the need to find and activate the infection control policies and responsibilities are clearly on follow-up and on the sterilization of instruments and devices and the surrounding environment, according to a proposed treatment of pneumonia treatment protocols adopted globally (We have noted in cases adhering to this resident).

In a related development, nominated according to reliable information from the initial reports of laboratory tests for bacterial samples taken from patients in a hospital in the blue state that there is no indication to the presence of a bacterial cause of the epidemic.

In addition, the Ministry of Health recorded new cases of pneumonia to a hospital, working in the blue government, bringing the total to 12 cases.
Quoted infected after the onset of symptoms of minor to Prince Hamza Hospital to be placed under surveillance.

The director of primary health care in the ministry, Dr. Bassam Hijjawi survival of only 3 of patients under surveillance, and said that their health is good.
He expected the results show that Hijjawi laboratory tests of samples in the laboratory today, explaining that the evidence indicates that infections caused by bacteria because it is the most common infection in hospitals.
Hijjawi said that what happened in a hospital in the blue government gets in any hospital in the world, which is not curious about it, believing that the injury disappear after hitting the microbe is located where the sterilization of hospital with the latest ways to beat that causes the disease. http://translate.google.com/translat...mmannet.net%2F

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